van Gerven P, van Dongen JM, Rubinstein SM, et al. - Researchers performed an economical evaluation in addition to a multicentre randomized controlled trial including 341 patients, in order to ascertain the cost effectiveness of a reduced imaging follow-up protocol of distal radius fractures compared with usual care. Participants were randomized to either usual care (n = 172; routine radiography at 1, 2, 6 and 12 weeks) or a reduced imaging strategy (n = 169; radiographs at 6 and 12 weeks only for a clinical indication). In the reduced imaging group, patients received on average 3.3 radiographs (SD: 1.9) vs 4.2 (SD: 1.9) in the usual care group. Significantly lower costs for radiographic imaging were reported in the reduced imaging group vs the usual care group (€−48 per patient). Outcomes suggest that in the follow-up of distal radius fractures, implementation of a reduced imaging strategy has a high probability of being cost effective for quality-adjusted life years, with no reduction in functional outcome. Based on these findings, they emphasize conducting imaging only when clinically indicated.